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- Title
Enfermedad vascular cerebral isquémica aguda en mayores de 75 años en la primera década del siglo XXI en México.
- Authors
Ruiz-Sandoval, José L.; Cantú-Brito, Carlos; Chiquete, Erwin; Parra-Romero, Gustavo; Arauz, Antonio; de Jesús Villaseñor-Cabrera, Teresita; Parada-Garza, Juan Didier; Pérez-Gómez, Héctor Raúl; Barinagarrementeria, Fernando; Ramos-Moreno, Alma
- Abstract
Introduction: Cerebrovascular disease incidence increases directly with population ageing. In Mexico, information about ischemic stroke (IS) in older patients is scarce. Objective: To describe and analyze the risk factors, clinical condition at hospital admission and short-term prognosis in patients older than 75 years with IS. Methods: We selected and analyzed all IS patients over 75 years old from a hospital registry and two multicentric national registries (PREMIER and RENAMEVASC). Severity was evaluated at admission with the NIHSS and the functional outcome at thirty-day with the modified Rankin scale. Results: From 2,444 IS patients include in the three registries, 982 (40.2%) were over 75 years old; among them, 75 (7.6%) corresponded to transient ischemic attack and 907 (92.4%) to cerebral infarction (CI). The main risk factors for CI were: hypertension 70%, diabetes 29%, and atrial fibrillation 23%. Thirty-day mortality was 27%, being higher among those patients with NIHSS =18 and = 85 years old. Conclusions: IS occurred in 4 of 10 patients aged 75 years or more in this database, showing a high morbidity and mortality at shortterm. Hypertension and atrial fibrillation must be appropriately identified and treated.
- Publication
Revista Mexicana de Neurociencia, 2017, Vol 18, Issue 1, p42
- ISSN
1665-5044
- Publication type
Article